Parent-adolescent Communication Research Articles

Factors Influencing Resilience among Korean adolescents and young adult survivors of childhood cancer.

The number of childhood cancer survivors has been steadily increasing because of improved cancer treatment outcomes. We aimed to examine the level of cancer stigma, coping, spirituality, hope, family communication, social support and resilience in adolescent and adult childhood cancer survivors and identify factors associated with resilience. This study is a descriptive survey conducted on 139 childhood cancer survivors aged 15-29 years who had been diagnosed with cancer prior to the age of 19 years at a general hospital in Seoul. The questionnaire consisted of the Cancer Stigma Scale, Jalowiec Coping Scale, Functional Assessment of Chronic-Illness Therapy-Spirituality (FACIT-Sp), Hearth Hope Index (HHI), Parent-Adolescent Communication Inventory (PACI), Multidimensional Scale of Perceived Social Support (MSPSS), and Haase Resilience in Illness Scale (HARS). Collected data were analyzed using multiple linear regression analysis with SPSS 23.0. Resilience positively correlated with courageous coping, spirituality, hope, family communication and social support, and negatively correlated with cancer stigma and defensive coping. Regression analyses revealed that courageous coping (β=0.303, p<.001), hope (β=0.317, p=.001), and solid tumor diagnosis (β=-0.144, p=.012) were significantly predictive of resilience among childhood cancer survivors, and these factors explained 65.2% of the variance. Resilience among childhood cancer survivors was higher with increasing courageous coping and hope and lower with solid tumors. These results suggest that coping and hope management should be included in the strategies to enhance the resilience of AYA cancer survivors.

Parent-Adolescent Communication Quality and Life Satisfaction: The Mediating Roles of Autonomy and Future Orientation.

BackgroundPrevious studies have suggested that family communication quality is an important factor that can influence adolescents’ life satisfaction. However, relatively few studies have examined this relationship in the Chinese cultural context or explored the potential mechanisms underlying this relationship. Therefore, the purpose of this study was to investigate whether family communication quality is closely linked to Chinese adolescents’ life satisfaction and whether this link was mediated by autonomy and future orientation.MethodsThis study recruited 442 Chinese college students (67.19% girls) as participants. Based on a longitudinal design, the participants reported family communication quality at Time 1 and reported autonomy, future orientation, and life satisfaction at Time 2.ResultsThe results of correlation analysis showed the existence of a positive correlation between family communication quality, autonomy, future orientation, and life satisfaction. The mediation models showed family communication quality predicted adolescents’ life satisfaction through the mediating effects of autonomy and future orientation. Furthermore, autonomy and future orientation not only independently mediated the relationship between family communication quality and life satisfaction but sequentially mediated this relationship.ConclusionAutonomy and future orientation mediated the relationship between family communication quality and life satisfaction. The findings of the present study highlight the significance of elevating family communication quality and promoting adolescents’ development of autonomy and future orientation to enhance their life satisfaction.

The Effect of the Parent-Child Relationship Enrichment Training Package With An Emphasis on the Internet Use: A Mixed Methods Approach

Objective: In the current world, one of the parent-adolescent communication challenges is overusing the Internet and digital devices. The present study aimed to examine the effectiveness of the parent-child relationship enrichment training package with an emphasis on Internet use in parents and their adolescent daughters. Methods: This study was conducted using the exploratory sequential mixed methods design. The research population consisted of parents and their female adolescent children studying in the junior secondary school in District 11 of Tehran City, Iran, in 2020. In the qualitative phase of the study, 15 parents were selected using the purposive sampling method, and then semi-structured interviews were held with them. The data collected from the interviews were analyzed using Strauss and Corbin’s (2014) grounded-theory approach to extract related categories and subcategories. Afterward, the parent-child relationship enrichment training package was developed with an emphasis on Internet use. The participants in the intervention group received the training for twelve 1.5 hour sessions. The collected data were analyzed using the multivariate analysis of covariance in SPSS v. 21. Results: The validation results showed that the parent-child relationship enrichment training package was effective in promoting media literacy (F=310.972; P&lt;0.05), improving the mother-child relationship (F=57.76; P&lt;0.05), improving the father-child relationship (F=1503.863; P&lt;0.05), and reducing the problematic use of the Internet in female adolescents (F=402.084; P&lt;0.05). Conclusion: The parent-child enrichment education intervention with emphasis on Internet use was designed to fit the context and lifestyle of female adolescents studying in District 11 of Tehran. It can help parents reduce adolescent-parent conflicts and improve the quality of adolescent-parent interaction.

Effect of time on quality of parent-child communication in pediatric cancer.

A diagnosis of childhood cancer results in new parent-child communication challenges. Little is known about how communication changes over time after diagnosis or relapse. The objective of this study was to determine the effect of time since diagnosis and relapse on quality of parent-child communication. We hypothesized that there would be a positive correlation between time and quality of parent-child communication. Cross-sectional study in children (7-17years) with relapsed/refractory cancer and their caregivers, who spoke English, were not cognitively impaired, and had internet access. Parents were recruited through Facebook ads. Parents and children completed the Parent-Adolescent Communication Scale (PACS), a 20-item measure of communication quality, with openness and problem subscales. Spearman's rho (rs ) coefficients assessed correlations between PACS scores and time since diagnosis/relapse. There was a statistically significant negative correlation between parent PACS scores and time since child's cancer diagnosis (rs =-0.21, p=.02), indicating a tendency for overall worsening communication as time since diagnosis increased. There was a positive correlation between the parent PACS problem scores and time since diagnosis (rs =+0.22, p=.01), indicating more problematic communication as time since diagnosis increased. Correlations of time since relapse and PACS scores were small and not statistically significant. Parent-child communication worsens over time following a child's cancer diagnosis with more communication problems, contrary to our hypothesis. Future studies are needed to evaluate intervention timing to best support parent-child communication beyond the new-diagnosis period.

Young-parent communication on sexual and reproductive health issues among young female night students in Amhara region, Ethiopia: Community-based cross-sectional study.

Young is a key stage in rapid biological and psychosocial changes affecting every aspect of the lives and an important time to set the foundation for good health in adulthood. Adolescent-parent communication is a potential path for improving sexual and reproductive health outcomes for adolescents, most of parents did not teach their adolescents about sexual and reproductive health. Even though, some researches have been done on day time students, there is no study conducted focusing on young girls attending night school in Ethiopia. This study aimed to assess young-parent communication on sexual and reproductive health issues and associated factors among night female students in Amhara Region, Ethiopia, 2018. School based quantitative cross-sectional study was employed in Amhara region among 1640 young female night students from September 15 to November 15/2018. Face-to-face interview-administered questionnaires were used to collect the data. Bi-variable and multi-variable logistic regression model were used. Odds ratio (OR) with 95% confidence interval (CI) were computed to determine the strength of association between predictor and outcome variables. P-values less than 0.05 considered as level of significance. One hundred ten (37.5%) of the students had communication with their parents on at least two issues of sexual and reproductive health (SRH) issues in the last 6 months. Grade level (adjusted odd ratio (AOR) = 2.61, 95% CI (2.04, 3.34)), marital status (AOR = 1.29, 95% CI (1.03, 1.63), living arrangement (AOR = 1.50(1.13, 2.00)), utilization of youth friendly sexual and reproductive health services (AOR = 1.80, 95% CI (1.41, 2.30)), students ever had sexual intercourse (AOR = 1.50, 95% CI (1.23, 1.96)), Information about sexual and reproductive health services (AOR = 1.45(1.16, 1.80)) were associated young-parents communication on sexual and reproductive health issues. In this study young-parent communications on sexual and reproductive health (SRH) issues was found to be limited. Therefore, teachers, health extension workers, and health professionals should strengthen comprehensive SRH education for students in school, churches, mosques, health facilities and encouraging them to participate in different health clubs in school. Parent should give education for their children sexual and reproductive health during the era of young age.

Efficacy of a Web-Based Intervention (Smart Choices 4 Teens) for Facilitating Parent-Adolescent Communication About Relationships and Sexuality: Randomized Controlled Trial.

BackgroundThere is a need for interventions that promote healthy decision making among adolescents and leverage the ongoing impact of parental relationships through older adolescence and young adulthood. These interventions should maximize adolescent engagement and be easily accessible to families in terms of cost, duration, and logistics related to participation. ObjectiveThis study aims to test the efficacy of the healthy relationships and sexual decision-making component of a web-based intervention for older adolescents and their parents, ascertain whether the efficacy varies by gender, and assess its efficacy over time. MethodsA randomized controlled trial was conducted for the web-based, self-paced intervention Smart Choices 4 Teens from 2014 to 2015. Families (N=411) with adolescents aged 16-17 years were randomly assigned to the intervention or control condition. Surveys assessing aspects of sexual communication were administered at baseline and at 6, 12, and 18 months. Generalized estimating equations were used to determine the impact of exposure to the relationships component of the intervention on sexual communication by parents, as reported by adolescents. ResultsLess than half (88/206, 42.7%) of the intervention group participated in the third and final intervention component, which was focused on relationships and sexual decision making. Participation in the relationships component increased the frequency of parental sexual communication and increased the number of dating rules after accounting for other significant adolescent characteristics. The impact of the intervention varied little by gender, although it did demonstrate an impact on communication reports over the follow-up survey administrations.ConclusionsSmart Choices 4 Teens demonstrated efficacy in increasing the frequency of sexual communication between parents and adolescents in the long term.Trial RegistrationClinicalTrials.gov NCT03521115; https://clinicaltrials.gov/ct2/show/NCT03521115

Exploring Parent-gender Differences in Parent and Adolescent Reports of the Frequency, Quality, and Content of Their Sexual Health Communication

ABSTRACT Parent-adolescent sexual health communication (SHC) is a protective factor that can reduce adverse adolescent sexual health outcomes, and the frequency, quality, and content of SHC predicts its effectiveness. However, research on this topic has been limited in scope, overwhelmingly focused on mothers; and often has only included the parent or adolescent perspective, not both members of the dyad. Using secondary cross-sectional data, this study used ANCOVA, logistic regression, correlational, and chi-square analyses to investigate parent-gender differences in parent-adolescent SHC. Participants included 341 parent-adolescent dyads. Compared to fathers, mothers rated parent-adolescent SHC as more important and more comfortable, and had greater self-efficacy for and fewer reservations about SHC than fathers. Mothers also reported talking more frequently and more broadly with their child about sexual health than fathers. Adolescent-reported frequency, quality, and content of parent-adolescent SHC did not differ significantly by parent gender, except for one sexual health topic. Dyadic analyses revealed that mothers and their children tended to agree more in their reports of parent-adolescent SHC than fathers and their children. These findings suggest that fathers may need additional resources to help them confidently engage in effective parent-adolescent SHC.

The Effect of Parent-Adolescent Communication and Positive Psychological Capital on Psychological Well-being

The Effect of Parent-Adolescent Communication and Positive Psychological Capital on Psychological Well-being

HIV and mental health among young people in low-resource contexts in Southeast Asia: A qualitative investigation

ABSTRACT Young people aged 15−24 years comprise one-fourth of incident HIV infections in Southeast Asia. Given the high prevalence and impact of mental health issues among young people, we explored intersections of HIV and mental health, with a focus on adolescent and young key populations (AYKP) in Indonesia, the Philippines, Thailand, and Vietnam. Sixteen focus group discussions (4/country) with young people (n = 132; 16−24 years) and 41 key informant interviews with multisectoral HIV experts explored young people's lived experiences and unmet needs, existing programmes, and strategic directions for local and regional HIV responses. Cross-cutting challenges emerged in healthcare, family, school, and peer domains amid fragmented and under-resourced HIV and mental health services in socio-politically fraught environments. We identified strategic opportunities and initiatives in development and integration of youth-friendly HIV and mental health services; programmes to promote parent–adolescent communication about sex and HIV; and teacher training and resources to advance HIV and mental health awareness, serve as first-responders, and provide community referrals. Youth-led peer education programmes and LGBT-networks were central to the HIV response—promoting HIV prevention, sexual health, and mental health awareness for young people, and resilience and socioeconomic empowerment of peer educators themselves—thereby transforming sociocultural and political contexts of vulnerability.

Left-Behind Children, Parent-Child Communication and Psychological Resilience: A Structural Equation Modeling Analysis.

This study aims to examine the role of parental migration status and parent communication in the psychological and related behavioral status of left-behind children and their psychological resilience. A cross-sectional survey was conducted in Anhui Province of China, and a questionnaire survey was conducted with 1992 teens using the Chinese version of the Parent-Adolescent Communication Scale (PACS), Connor-Davidson Resilience Scale (CD-RISC), and Strength and Difficulties Questionnaires (SDQ). Compared with the never left-behind group, left behind children had relatively lower PACS, CD-RISC and SDQ scores. Absence of parents is related with poorer psychological resilience, while good parent communication is related with better psychological resilience. Better psychological resilience is related to fewer psychological problems regardless of parental migration status. Currently left-behind status demonstrated a negative influence on psychological resilience, while never left-behind status had a positive effect. Interventions are needed to enhance psychological resilience of left-behind children to prevent psychological and related behavioral problems.

Parent-Adolescent Communication and Early Adolescent Depressive Symptoms: The Roles of Gender and Adolescents' Age.

Positive parent-adolescent communication has been found to be negatively related to adolescent depressive symptoms; however, few studies have investigated the moderating effects of adolescent gender and age on this relationship, especially during early adolescence in China. The present study investigated the joint moderating effects of adolescent gender and age on the linkage of father-adolescent and mother-adolescent communication with adolescents’ depressive symptoms. A total of 11,455 Chinese junior high school students (Mage = 14.15 years, SD = 1.22 years; 49.86% boys; Ngrade7 = 5712, Ngrade9 = 5743) completed ad hoc questionnaires of parent-adolescent communication and depressive symptoms. Multiple linear regression analyses were conducted. Results indicated that gender and age jointly moderated the association between parental communication and adolescent depressive symptoms. Specifically, for girls, the negative effects of both father-adolescent and mother-adolescent communication on depressive symptoms were stronger in 9th grade students than in 7th grade students, while for boys, the negative effects were not different between 7th grade students and 9th grade students. These findings suggest that in China, the protective effects of positive parent-adolescent communication on adolescents’ depressive symptoms may be most salient among senior-grade girls in junior high school.

청소년의 학업스트레스가 스마트폰 과의존에 미치는 영향: 부모-자녀의사소통의 조절효과

The purpose of this study was to examine the influence of academic stress on smartphone over-dependence and the moderating effect of parent-adolescent communication on the relationship between academic stress and smartphone over-dependence among middle school students. For this study, 402 students, the participants in this research were 2 grade students at middle school. And analysis using SPSS 21.0 was performed. The main results are summarized as follows. First, academic stresses perceived by adolescents showed a positive correlation with smartphone over-dependence, and parent-adolescent communication showed negative correlation with smartphone over-dependence. Second, parent-adolescent communication moderated the relationship between academic stress and smartphone over-dependence. In this study, the positive communication between parents and their adolescent moderates the relationship between academic stress and their smartphone over-dependence, which means that the quality of parent-adolescent communication can serve as a protective factor to prevent smartphone over-dependence. Since the number of participants in this study is limited to U city, it is necessary to secure sufficient representativeness through large-scale sampling across the country.

The Effects of Parent–Adolescent Communication on the Subjective Well-Being of Middle School Students: The Mediating Effects of Positive Psychological Capital

Objectives This study identified the direct effects of parent–adolescent communication on middle school students’ subjective well-being and the mediating effects of positive psychological capital on this process. Methods Participants in this study consisted of 234 middle school students (114 males, 118 females) living in Gwang-ju city, Korea. Participants were 234 middle school students in Gwang-ju city, who completed a self-report questionnaire, including measures of parent–adolescent communication, positive psychological capital, and subjective well-being. Data were analyzed using PASW ver. 18.0 and AMOS ver. 18.0 to conduct descriptive statistics, correlation analysis, and a structural equation model (SEM). Results First, open parent–adolescent communication had a positive influence on subjective well-being in middle school students, but problematic parent–adolescent communication had a negative influence on subjective well–being in middle school students. Second, positive psychological capital had a positive influence on subjective well-being in middle school students. Third, positive psychological capital acted as a partial mediator for parent–adolescent communication, affecting subjective well-being in middle school students. Conclusion This study highlights the fact that parent–adolescent communication has an effects on middle school students’ subjective well-being via positive psychological capital. This study contributes to the literature by providing fundamental insights into subjective well-being in middle school students. Keywords: parent-adolescent communication, positive psychological capital, subjective well-being

The Intergenerational Impact of Adverse Childhood Experiences on Hispanic Families: The Mediational Roles of Parental Depression and Parent–Adolescent Communication

Parental exposure to adverse childhood experiences (ACEs) has been documented as a strong risk factor for subsequent externalizing behaviors in their youth. Although studies have investigated ACEs and their intergenerational association with youth externalizing behaviors, this association has not been investigated in Hispanic families. Additionally, substantial gaps in the literature exist explaining the mechanisms by which this association occurs. The purpose of this study was to examine whether parent-adolescent communication and parental depressive symptomatology explain the relationship between parent's ACE score and adolescent externalizing behaviors. This secondary data analysis utilized baseline data from an ongoing randomized controlled trial evaluating the relative effectiveness of an online parenting intervention for Hispanic adolescents. The sample consisted of 456 parents and their adolescents between the ages of 12-16. Using path modeling, parental depressive symptomatology and parent-adolescent communication were simultaneously examined as mechanisms that may explain the intergenerational relationship between parental exposure to ACEs and externalizing behaviors in Hispanic youth. Parental depressive symptomatology and parent-adolescent communication both significantly mediated the association between parental exposure to ACEs and adolescent externalizing behaviors. Understanding the mechanisms explaining the intergenerational association between parental exposure to ACEs and adolescent externalizing behaviors may aid future research examining problematic behaviors in Hispanic youth.

Predictors of Adolescent Parent Communication and Safe Sexual Behaviour among In-School Adolescents

Adolescents in communicating about their sexual and reproductive health (SRH) issues are faced with the obstacles created by expected social norms and taboos related to sexuality and gender. This study aims to determine the relationship between adolescent-parent communication and its relationship with safe sex behaviour among adolescents.&#x0D; &#x0D; The study was a descriptive cross-sectional. Data was collected from 400 adolescents in Ife-East local government using a pre-tested semi-structured questionnaire. We used a multistage sampling technique to select the required study subjects. We carried out simple frequencies and chi-square.&#x0D; &#x0D; &amp;nbsp;Fifty &amp;ndash;five percent (55.3%) of the respondents were females, while&amp;nbsp;44.8% are males. The mean age (&amp;plusmn;SD) of the participants was&amp;nbsp;15.50 &amp;plusmn;1.55years. Of the respondents, only 37% had good knowledge of sexual and reproductive health issues, while 63% had poor knowledge of sexual and reproductive health issues. The&amp;nbsp;predictors of adolescent parent communication among respondents are private schools (OR=2.546, P = 0.005, CI=1.327-4.885), Female sex (OR=12.128, P&amp;lt;0.001, CI=11.590 &amp;ndash; 25.534),&amp;nbsp;&amp;nbsp; family size (OR=14.772, P= 0.003, CI=13.037 &amp;ndash;20.015) and good knowledge of sexual and reproductive health issues (OR=19.521, P= 0.007, CI=19.521 &amp;ndash;29.078).&amp;nbsp; There is a statistically significant relationship between adolescent parent communication and safe sexual behaviour (X&amp;sup2;=152.998, P &amp;lt;0.001, df = 1).&#x0D; &#x0D; The findings of our study revealed that adolescents were not communicating much with parents about sexual and reproductive health issues; and that there is an association between adolescent parent communication and safe sexual behaviour.

Factors Associated With Parent-Adolescent Communication on Sexual and Reproductive Health Issues in Urban Slums of Ibadan, Southwest Nigeria.

In Nigeria, adolescents in urban slums are increasingly at risk of adverse sexual and reproductive health (SRH) outcomes. However, little is known about how individual factors predict parent-adolescent communication on SRH issues in a resource-poor urban setting in Ibadan. Thus, this study investigated individual factors associated with parent-adolescent communication on SRH issues in urban slums of Ibadan, southwest, Nigeria. This study is part of a larger project that explores the socio-ecological factors influencing parent-adolescent communication on SRH issues in selected slums in Ibadan, Nigeria. Within this broader framework, this paper relies on the quantitative data obtained in 10 selected slums. Interviewer-administered structured questionnaire [scripted on open data kits (ODK)] was utilized to collect data from a sample of 796 parent-adolescent dyads. Six SRH topics were investigated to describe the issues discussed. Analytical techniques utilized include; frequency counts, chi-square, and multinomial logistic regression. Parent-adolescent communication regarding SRH issues is not uncommon in urban slums of Ibadan but characterized by indirect communication, threat and warning. Parents and adolescents' age, gender, marital/relationship status, educational attainments and religion played influential role in parent-adolescent communication regarding SRH issues. These factors were identified to be significantly associated with the pattern of parent-adolescent discussion of SRH issues. Age-specific SRH education should be available to adolescents and parents need to be educated on appropriate SRH information and the best way to engage their adolescents on SRH issues.

부모자녀 의사소통이 청소년의 일상적 스트레스에 미치는 영향: 긍정심리자본의 매개효과

본 연구의 목적은 부모자녀 의사소통, 긍정심리자본, 청소년의 일상적 스트레스 간의 구조적 관계를 살펴보고, 부모자녀 의사소통과 청소년의 일상적 스트레스와의 관계에서 긍정심리자본의 매개효과를 확인하는 것이다. 연구대상은 G시에 거주하는 중학생 235명이다. SPSS 18.0을 통해 기술통계분석과 상관관계분석을 실시하였고, AMOS 18.0을 활용하여 구조모형분석을 실시하였다. 주요 결과는 다음과 같다. 첫째, 부모자녀 의사소통은 긍정심리자본에 정적 영향을 미치는 것으로 나타났고, 일상적 스트레스에는 부적 영향을 미치는 것으로 나타났다. 둘째, 긍정심리자본은 청소년의 일상적 스트레스에 부적 영향을 미치는 것으로 나타났다. 셋째, 부모자녀 의사소통이 청소년의 일상적 스트레스에 미치는 영향에서 긍정심리자본의 부분매개효과가 확인되었다. 본 연구가 청소년의 일상적 스트레스를 낮추기 위한 교육적 개입 및 프로그램을 개발하는데 기초자료로 활용되기를 기대한다.

Parent-Adolescent Communication, School Engagement, and Internet Addiction among Chinese Adolescents: The Moderating Effect of Rejection Sensitivity.

Although a large body of research has indicated that parent-adolescent communication is a crucial protective factor for adolescent Internet addiction, the mediating and moderating mechanisms underlying this relationship remain unclear. To address this research gap, this study, based on social control theory and the organism-environment interaction model, was designed to test whether school engagement mediated the relationship between parent-adolescent communication and adolescent Internet addiction and whether this mediating effect was moderated by rejection sensitivity. A sample of 1006 adolescents (Meanage = 13.16 years, SD = 0.67) anonymously completed the questionnaires. The results showed that the positive association between parent-adolescent communication and adolescent Internet addiction was mediated by school engagement. Moreover, this indirect link was stronger among adolescents with high rejection sensitivity than those with low rejection sensitivity. These findings highlighted school engagement as a potential mechanism linking parent-adolescent communication to adolescent Internet addiction, with high rejection sensitivity being an important risk factor amplifying this indirect effect. Intervention programs aimed at reducing Internet addiction among adolescents might benefit from the current research.

Adolescents’ Sexual Education: Parental Involvement in a Rural Area in Kwazulu-Natal, South Africa

Parent-adolescent communication on sexuality is one of the key determinants of sexual and reproductive health outcomes of adolescents. Despite parent-adolescent communication on sexuality, statistics show an increase in the number of teenage pregnancies. This interpretative phenomenological analysis explored the perceptions of parents in a rural village in the Umzinyathi Health District in KwaZulu-Natal regarding the provision of sex education to adolescents. Ten parents of adolescent children were purposively selected to participate in the study, and data were collected using face-to-face, semi-structured interviews. Field notes were also taken to complement the audio recordings. Data were analysed thematically using the framework for interpretative phenomenological analysis. The results showed that rural parents face challenges in providing sex education to their teenagers. Sex education provided to adolescents is uncoordinated and haphazard. Parents have inadequate information and they are fearful and embarrassed to initiate sex talks with their teenagers. An age-appropriate, structured, formal, culture-sensitive, community-based sexual education programme aimed at empowering parents with knowledge and skills to provide contextual and age-relevant sex education to their teenage children is recommended.

Adolescents' Communication on Sexual and Reproductive Health Matters with Their Parents and Associated Factors among Secondary and Preparatory School Students in Ambo Town, Oromia, Ethiopia.

Background Sexual and reproductive health (SRH) communication is most likely to promote healthy sexual practices and to reduce risky sexual behavior among adolescents. Communication is the principal means for parents to transmit sexual values and knowledge to their children. Although there are few studies conducted on parent-adolescent communication, there is no study conducted in the town of Ambo. This study was aimed at assessing the level of parent-adolescent communication on SRH issues and its associated factors among school students in Ambo town, Oromia, Ethiopia. Method An institution-based concurrent mixed-method cross-sectional study was conducted among 591 secondary and preparatory school students in Ambo town from February 24th to March 9th, 2019. A systematic sampling technique was used to select the study subject. Data were collected through self-administered questionnaires, and FGD was conducted with parents of students. Data was entered using EpiData version 3.1 and exported to SPSS version 23.0 for statistical analysis. Binary and multivariable logistic regression analyses were used to ascertain the association using a 95% confidence interval (CI) and p value (<0.05). Results The proportion of students who had communication on sexual and reproductive health issues with their parents was 222 (37.6%). Being female (AOR = 2.07, 95% CI: 1.40-3.07), private school (AOR = 2.77, 95% CI: 1.17-3.69), a father with secondary education (AOR = 2.93, 95% CI: 1.05-8.12) and diploma and above (AOR = 3.27, 95% CI: 1.23-8.71), considering sex education necessary (AOR = 2.83, 95% CI: 1.22-6.57), got information about SRH issues from school (AOR = 2.01, 95% CI: 1.06-2.36) and media (AOR = 2.92, 95% CI: 1.49-3.71), and mother's openness to communicate about SRH issues (AOR = 3.30, 95% CI: 1.31-4.05) were found to be significantly associated with parent-adolescent communication on SRH issues. Conclusions The study showed that parent-adolescent communication on SRH issues is low. Being female, those from a private school, father's education, perceived importance of sex education, source of information about SRH issues (school and media), and mother's openness to communicate about SRH issues were identified to be factors associated with the communication. Therefore, the concerned body should consider the identified factors to improve the current level of parent-adolescent communication and adolescent reproductive health.